Basic Information
Provider Information
NPI: 1831794403
EntityType: 2
ReplacementNPI:  
OrganizationName: DENVER PHYSICAL THERAPY, P.C.
LastName:  
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Mailing Information
Address1: 2035 CORTE DEL NOGAL STE 200
Address2:  
City: CARLSBAD
State: CA
PostalCode: 920111445
CountryCode: US
TelephoneNumber: 9499434654
FaxNumber:  
Practice Location
Address1: 5801 S QUEBEC ST STE 100
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801112010
CountryCode: US
TelephoneNumber: 3037700870
FaxNumber: 3038003516
Other Information
ProviderEnumerationDate: 12/02/2020
LastUpdateDate: 12/02/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: PACE
AuthorizedOfficialFirstName: ROBERT
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2138041712
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate: 12/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM1300X  Y Ambulatory Health Care FacilitiesClinic/CenterMulti-Specialty

No ID Information.


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